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Type of Contribution*

Sustainer (You may make an ongoing monthly gift until you tell us to stop.)

Annual Gift

Your Membership Level*

$

All contributions $50 and above will
receive an annual subscription to the WTVP Program Guide.

Thank You Gift

Thank
you Gift

No
Gift, I would like all my pledge to support programming.

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To charge by phone, use EFT, or make payment
arrangements call 309-495-0555

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Employee
Matching (optional)

Many employers will match
the contributions made by you and/or members of your household -
doubling the value of your gift. Just ask your Human Resources
Department for a matching gift form and forward it to WTVP at any time.
You may see a list of matching employers
in the drop down menu below.

Employee Legal Name:

Active Employee
Eligible Retiree
Board of Directors

Caterpillar Foundation Educational and
Cultural Matching Gift Program

The Caterpillar Matching Gift procedures have changed as of 7/1/2012. A link to the new Caterpillar Matching Gift Request form will be provided after
your membership form has been submitted and will also be included in your thank you email.

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